| NPI | 1356730998 |
|---|---|
| Former Name | CASEY SEIBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0013114) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-3757) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2017-11-16 |